Northampton Manor - Frederick Nursing Home
General Information
UPDATEFederal Provider Number
215217
Provider Name
NORTHAMPTON MANOR
Provider Address
200 EAST 16TH STREET
FREDERICK, MD 21701
FREDERICK, MD 21701
Provider Phone Number
3016628700
Provider SSA County
100
Provider County Name
Frederick
Ownership Type
For profit - Corporation
Number of Certified Beds
196
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHAMPTON MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96485
Reported LPN Staffing Hours per Resident per Day
0.94970
Reported RN Staffing Hours per Resident per Day
0.98091
Reported Licensed Staffing Hours per Resident per Day
1.93061
Reported Total Nurse Staffing Hours per Resident per Day
3.89546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11545
Expected CNA Staffing Hours per Resident per Day
2.49185
Expected LPN Staffing Hours per Resident per Day
0.65462
Expected RN Staffing Hours per Resident per Day
1.15532
Expected Total Nurse Staffing Hours per Resident per Day
4.30179
Adjusted CNA Staffing Hours per Resident per Day
1.93477
Adjusted LPN Staffing Hours per Resident per Day
1.20414
Adjusted RN Staffing Hours per Resident per Day
0.63440
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65016
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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